CCPA Request Form

Purpose of Request(Required)

Disclose categories of personal information collected about me

Disclose specific personal information collected about me

Correct inaccurate personal information about me

Delete personal information about me

Select the item in this list that best describes your relationship to Flagship Credit Acceptance(Required)

Full Name(Required)

First Last

Current Mailing or Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Account Number(Required)

Previous Mailing or Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address

Phone

Previous Mailing or Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address

Phone

Previous Mailing or Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address

Phone

Phone(Required)

Previous Mailing or Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address

Phone

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Customer and Insurance correspondence should only be sent to Flagship Financial Group LLC via the addresses listed in our Payment Center or electronically on our Contact page.

Flagship Financial Group LLC is posting the following regulatory licenses as required by state law or regulations:

General correspondence should be sent to Flagship Financial Group P.O. Box 3807, Coppell, TX 75019.